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<br /> NQTICE t3F DEEQ RESTRtCT10NS: The under�lgned unde�tands°�Eh�t:_thls����rmlf�may.be;subJect;to,°deed"res#cictioris"_:s., .`.��:N.
<br /> which may�:lieimote=resttictive�tta�n CounEy`�rw�gr�lat(ons. =Ttie underslgned-assurines���e�pansitilliiy-for'compilance with any�`
<br /> ,�....,.A,
<br /> appUc�ble:deed=reaMctlons. ' - .,::, ;., .:`•_.,�,. _ • . , _ .. >. - .�; �� - � '
<br /> �._. ..
<br /> UNltCENSED`CONTItACTORS�AND C�t�TRACTOR.RE$PONSIBI�IT'IES:-�-If �he�•nwner hasY°hired��� �contiractar or
<br /> contraotors to undertake work,-they.may,b.e.r,equire,d,to-bezlicensed�in acc�rdance.wittr state�:and;local:�regulatlans: +If,the= e � - �
<br /> contractor is�na# 11cei�ssd�as�tequlEetl`6y lainr, both�the owner a��i:ont�actoT=may be-�clted.for�a�misdemeanor vlolation
<br /> �,
<br /> under state law. If the owner nr Intended>,contrat�tor�are:uncertain as:to !what Iicenaln�,requtre�nents;'mey�apply-��foruthe'� ��-� �� =
<br /> ,,:., ...}.
<br /> intend�d`wark�they a�e"advlseii fo caintact::the.Paaco,Caiinty 8ullding Inspei;tlon,D(vislrin-Ltcensing Secttan at?'27-647-
<br /> 8009. Fe�rttiermore, if the owr�er Fias�"+tii�ed`a c+arihactor or aontractors, 1ie is aiivised ta have the contfiactar(s)r.sign , ,,;
<br /> . �o,n,r ... � .
<br /> portions of the "c,ontractar..Block".of thls appilcatton,for.which.they, will:.be:,ce�ponsible.- .If.you, as,thea,ovimer°`sign"2'as'''the � � -"` �
<br /> cont�actorE that�may,be an indicatlon'#ha#'iie`'is`noY:properlj►Ilc�iised'and�is'"nat entlfled to permltting pri�lleges tn Pasco ,, . �
<br /> Counly. � , ::��>.. :
<br /> TitANSPORTATION:-IMPACTlUTILITlES`�MPAC7=ANb l�ESOURCE RECCJVEEtY�FEES;The underslgned�utiderstands �
<br /> thatTransportation Impact Fees and.Recoutse RecoverymFees may`�apply�to�t�e:canstruction,of new_bultdings,.change�of�'°'� '-� �
<br /> 90-�7, as�mended tn�e undexsl ned'alsoxu8nd� ', � ' :
<br /> . . .._. --w --
<br /> � ' � :�buildings� as specffied.In Pasc� County O�dinance number 89-07 and ;
<br /> g etstands, th�t:such fees.-,as��may��s::due;�w11�:�ibe iden�ed,a#fhe�time�;of`���� ��-;h .�'
<br /> permitki�g. It Is fu'rtlier understood that T�aiitispottatlon Impact"Fees an.d�Resoucce,Recor:eryraFees,must be pald prlar to ,
<br /> �ace�ving a"cer#tficate of�nccupancy",ar final�powet;celease: :If�Ehe pro�ect..does}:riot lnvolve&a.cert�Eiqate of occupancy or;:--�:��;;-:t:• ;
<br /> final powec release;�the:fees mu�t be`paid,pilor#o,�permft issuan'ce. F��thermore,�1f.Pasco,C,ounty'Water/Sewer��lmpact - � ����.,�� ;
<br /> fees.are due�Ihey.must.,be-pald:prlor!o.p..ermit�.lss�ance=ln,.accordanc�a wlth'�rppllcabte.Pasco'County ordlnances. �
<br /> CONSTRUCTiON`CIEN'kAW(Chepte�713�F1or�cla Statut�a�as amend�d): if valuatlon of work 1s$2,500.00}oc;more,,i�� �. � _::.: •
<br /> certify that I, !he appllcant,. have�been ,provldetl=vvfth-a-copy-of t0�e�"Florida•��onsttictlon� Llen.:Law--Homeowner's
<br /> Pratectlon Gutde" prepared by the Flot�da Depa�rtmetit�of Agrlcutt�re and Gonsumer-.A�aics. If the appllcant Is someone- :-•-�
<br /> other than th�a"owner", I certify that I:,have;,obtalnetl�a�aapy.of.#t�e�above:des.crlbed;document�.and-.pramise::in,goad:-faith.to
<br /> deliver It to:the.�?owaec";p�ior�toacommencem�int:°�.. � . . . , _
<br /> CONTRACTt3R'STOWNER'S AFFIDAViT: I.ceiti�'y<:ttia#-atl�the,4ir�formatlonrin•thi�applicattan is accurate.�nd that afl wark
<br /> wlll'be done in compliance with all.applicable�laws regulating constructlon, zoning and:�land develapment. Appllcatlon is
<br /> hereby made to obtaln .a.permit{.#�.;do=w+�tk.�.and i�lristallaflon �� Ind[�sfedr-..�;1. t�rtif�i that no work=or tnstattat(on fias
<br /> commenced prto� to Issuance of'a perm(t"and that`.all�work wlll be pertormed #o meet.standards•of all laws regulating�
<br /> constructlort, Gounty and City�cQdes, zontng regulatlQns, and land devetopt�ent regalatlons�fn thie.�ur�sdlctlon:� !�al'sa ;
<br /> certlfy that 1 uaderstand that`tFi�,re�ulations af other godemment agencles may�apply ta the.lntended work� and that it is
<br /> my responstbility to lden#ify•what.acttona!must•take:to.bertn�c:orrlpllance:. S.uch.agencles�lnclude bu#�are.not limtted to: �� � ,
<br /> - Departmen# af Er�vironmental°Protectton`=CypTess:°Bayhead�, VfteHand Areas and Ernrironmentally Sensitive ;
<br /> Lands�WaterNVaskewater Treatment. w „ �
<br /> - Southwest Ftorlda Water IUlanagement: .C7ts#rtct�We11S� -Gyptess. 88y#t88d�;- WBtl�ttd ATe�s� A1#ering i
<br /> V1latercaurses. . � ° •
<br /> - Army Corps of Englneers�5eawalls�Docks,Navlga�le.Waten�vays.
<br /> - Department of,Health;:& Ref�abilitative.ServtcesJEnvitanmentat�Nealfh U'rtit Well.s; Wastewater�Treatment,
<br /> Septic Tanks: ' . � - � . �
<br /> - US Envlranmen#al Protscttan Agency-Asbestos ab�tement. . � _
<br /> Federa)Avlatton Authorlty-Runways: , �
<br /> t understand that.the�follow�iig•.restrlctlons appty"to tfie use of flA:•
<br /> - Use of filf is not afiawed ln�Flood;Zane�VV"unless expres�iy permitt�d.
<br /> - If'the--fi11 mate�laf�ls ta;be�used�ln.-:Flood Zone. °A"� It Is understood that a dralnage plan addressing a '
<br /> "compensattng volume"wi11 be subrnitted at time ofk•permift€ng w61clt is prepared by a profe�s�onal engineer �
<br /> Ilcensed by the State of Florld'a.:, r; � • � � " . �
<br /> - Of th� flll material !s�to ba:used In Flood Zone "A" in�connection�wlth�a�,.}�ermi#ted buitding usfng stem wali
<br /> � constnaction, tcertify.thatfUl�:wlll.b.e•usedonly.toflllthe,areawithln�the�stem�wall.
<br /> - It fill materla! Is to be used-ln any ares; I�ce�tNy that .use of'such flll wlll not adversely afFect adJacent
<br /> properties. If use of fill is found:ta edaetsely,�f�ect ad)a�er�t��pmperties,.the owne�may be cifad far viorating � �
<br /> #he condltions of the'bullding.permlt-I�'"sued under tNe�att�cFied;pecmlt appticatlon, for:lotsrles��than.one (1)
<br /> ac�e wiilcF�are elevated�tiy fllt;an englneer�ed dratnage�plan ts requlrad. � .
<br /> If I am the AGENT FOR.7HE OWNER,,I�pramTse In.good.fatth to 1�form�the�owner of•the�permltttng aonditians set forth In
<br /> � this affidadlt`prtor to commer�cing conshuctlon. ! ur�derstan�that a:separate permlt may be requtred for elecMcal wark. ..
<br /> � �m r,�•
<br /> ptumbing, signs, wells, pools;.alr condttioning�-.ga�s,_or.oti�ei instailStions na�.spea�tcsatly indu�ed�in.the application. .A
<br /> permit Issued"shall be co"rtstrued tabe a�license'ta�proceed wlth`tlie work end:not�as:authoNly to,vlolate;.cancel, alter,,ar
<br /> set aside an}+�ptavisians of the.#echnlcal cod�s:�nor shalt tssuance°of a.permit.pcevent fhe Bulldlrig Ofl3cial from therea#ter
<br /> requlring a coRectlon af ercors In�plans; cons#Fuctlan or vlolatlons of-any codes, �very-�p�ermtt-I.ssued sfiall become invalid
<br /> unless the work authorized.by such permlt�ls.commencec��wlthln,s;Uc�months of permlt IssUanae. or It wark authnrized by
<br /> the permit.is suspended or..sbandoned-for.e:period.of�i�c�)�montfis.efter the#ime the�vvork�is commenced. An extension
<br /> may be requested, In wrltltig;,,from tFie Bullding,Offlclal f6r a perlod:nnt.to exceed'°nlnety(90) days a�d-virill demonstrate
<br /> _ _ ____ .._____
<br /> —�us#�fa�bte catise fior":��he extensio�;�1f inrork:ceas�es for nlneiy.�90}cons.ecut v�e day.s,..the j��is cons�dered abac�doned:
<br /> WARNlNG TO OWNER; YQUI�..f.A1LtJRE.Tt?.RECQtt[�A.,NOT�GE QF�CQMM4MCEMEte4T:NrAY�RESULT fN YOUR
<br /> pAY1NG TWICE:.F�lR_-iMQitOVEMENTS�TO YDUR�.PRCC�PERTY. �i��YA.U�ii�i'�END`T�'�OBT`AIN�•FINAt�E1NG;�C.ONSULT
<br /> WIT U . D AN O NEY FO. '1 °O �'M �.� OU ''• • � °� -'' ��•' E �E � '
<br /> FI.ORIOA JUi4A'�(F.S:.217.03) - � . .. ' . . _ - ..
<br /> OWNER OR AO�NT 9 ' ������,,,� CONTRACTO ,. �L � —
<br /> Subscrlbed and M(or a e bsforra me Ihlr s�---- Subscribed m= (�af�nned}�betore me'ttii�.
<br /> by � .by... .
<br /> Who Is/are personally knavm to.me or haelhave produced Who.ts/are p.ersanallyknown�M.me,or hes/have•�roduced • �
<br /> ' as td`enUficatl4n. ' ss[detlB�caUOn.
<br /> � Note Pubitc . � �� Nota Publlc
<br /> ry ry .
<br /> CommissR � Ccm�lss2cn N ,
<br /> -`'�� y��°" Commission#FF 137073 �`�'�"'�`�`.." ,
<br /> -A. .kn dpNY a�i. _
<br /> Name oi ,, Nsms of N _, �►�}�itt3;��P�?r.'.;
<br /> r�;� BondedTh�uTroyFainlcspur�ce8d0�S5dOt9
<br /> i�`"p���.�' :�;: � Expires June 29,�?D 18
<br /> ;,�.
<br /> . '��ffrd��,.�.�`� Brn�ded Thm Troy Fain Iriswa.xa c0U38�Y019 ,
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